Ovulation Pain Duration and Related Symptoms - Obstetrics and Gynecology

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Ovulation pain typically lasts for a few hours to a couple of days?


Hello Dr.
Jan: Thank you for your previous response.
I apologize for bothering you again as I forgot to ask a few more questions.
Regarding the ovulation pain you mentioned, it has been ongoing for about a week (from June 14 to June 20) and I am currently still experiencing pain.
The pain varies between sharp and dull, and sometimes I feel discomfort while walking.
On June 9, I had abnormal bleeding and visited a gynecologist (my menstrual period was from May 31 to June 3).
The ultrasound did not reveal any issues, and the doctor mentioned that my irregular menstruation was likely due to the right ovarian resection I underwent at the beginning of May.
So, the dates mentioned should indeed correspond to the ovulation period, correct?
1.
Is it possible for the ovulation period to last longer than usual? Or could the abnormalities only be detected during this visit?
2.
If I had unprotected sexual intercourse around June 4 or June 5, could this be an indication of pregnancy?
3.
My menstrual period lasts 2 to 4 days, and I noticed dark brown discharge when wiping after urination on days 4 to 8.
Is this still considered part of my cycle, or is it abnormal bleeding?
(I apologize for bothering you again.)

Ci, 20~29 year old female. Ask Date: 2004/06/19

Dr. Zhan Deqin reply Obstetrics and Gynecology


If the menstrual cycle is regular, then if the period starts on May 31, ovulation should occur around the 15th.
However, after surgery, the menstrual cycle can sometimes be irregular, and abdominal pain may be related to incomplete recovery from the surgery.
It is likely not abnormal bleeding, but rather residual blood remaining in the vagina.

Reply Date: 2004/06/19

More Info


Understanding ovulation pain, also known as mittelschmerz, is essential for women who experience discomfort during their menstrual cycle. This pain typically occurs around the time of ovulation, which is when an ovary releases an egg. The duration and intensity of ovulation pain can vary significantly among individuals, and several factors can influence these experiences.

1. Duration of Ovulation Pain: Ovulation pain usually lasts from a few minutes to a few hours, but some women report discomfort that can persist for several days. In your case, experiencing pain for about a week (from June 14 to June 20) may be unusual but not unheard of, especially considering your recent medical history, including the right ovarian surgery. The surgery could have led to changes in your menstrual cycle and pain perception. It is not uncommon for women who have undergone ovarian surgery to experience altered ovulation pain patterns, including prolonged discomfort.

2. Pregnancy Concerns: Regarding your sexual activity around June 4 or June 5, if you had unprotected intercourse during your fertile window, there is a possibility of pregnancy. Ovulation typically occurs about 14 days before the start of your next menstrual period, and sperm can live in the female reproductive tract for up to five days. If you are experiencing symptoms such as breast tenderness, nausea, or missed periods, it may be prudent to take a home pregnancy test or consult with your healthcare provider for further evaluation.

3. Dark Brown Discharge: The dark brown discharge you mentioned occurring between the 4th and 8th days after your period could be old blood that is being expelled from your body. This is often considered normal, especially if it occurs at the end of your menstrual cycle. However, if you notice this happening frequently or if it is accompanied by other symptoms such as pain, unusual odor, or significant changes in your menstrual cycle, it would be wise to consult with your healthcare provider to rule out any underlying issues.

In summary, while ovulation pain can vary in duration and intensity, your recent surgery may be influencing your experience. If you have concerns about pregnancy or abnormal bleeding, it is essential to seek medical advice. Regular follow-ups with your gynecologist can help monitor your reproductive health, especially after surgical interventions. Always remember that your body is unique, and any significant changes in your menstrual cycle or pain should be discussed with a healthcare professional for personalized guidance and care.

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